Active NPI
James Malcolm Dyess, M.D.
- Internal Medicine Physician
- Gretna, LA
National Provider Identifier
1386749653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 023074
- Practice address
- 12 Westbank Expy
Gretna, LA 70053-3647 - Phone
- (504) 368-3100
- Fax
- (504) 368-0555
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 023074 | LA | Primary |
Addresses
Primary practice location
12 Westbank Expy
Gretna, LA 70053-3647
Mailing address
100 Merganser Dr
Mandeville, LA 70448-6607
Phone (985) 951-8941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721469018 | Other | LA | TAX # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023074 | LA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224633600000",
"number": "1386749653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MERGANSER DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704486607",
"telephone_number": "985-951-8941",
"fax_number": "986-951-8943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 WESTBANK EXPY",
"city": "GRETNA",
"state": "LA",
"postal_code": "700533647",
"telephone_number": "504-368-3100",
"fax_number": "504-368-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYESS",
"first_name": "JAMES",
"middle_name": "MALCOLM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2008-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "LA",
"license": "023074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX #",
"identifier": "721469018",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.